| NPI | 1437510237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: OH RN151795) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH RN 151795) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN151795) | |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |